Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicholas Banks Grubor, DMD

Individual provider General Practice Dentistry · NPI 1417637596

Dr. Nicholas Banks Grubor, DMD is a General Practice Dentistry in Middleburg, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1805 Blanding Blvd Ste 101
Middleburg, FL 32068-3839
Phone: (904) 214-3476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450100 State Road 200, Callahan, FL 32011-5064 — (904) 879-6998

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 28383 (FL)

Record details

NPI number1417637596
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 23, 2023

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